Medical Gallery, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Bonifay, FL
NPI 1114369907 · NPPES record last updated Aug 22, 2014
Key facts
- NPI
- 1114369907
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- MEDICAL GALLERY, LLC
- Practice address
- 217 N Waukesha St
Bonifay, FL 32425-2245 - Phone
- (850) 547-6186
- Fax
- (855) 899-5726
- NPI assigned
- Jul 23, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Ryan N Helms, CPC
- Title
- Owner/Manager
- Phone
- (850) 547-6186
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medical Gallery LLC |
Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (S… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140602001951 | FL | DME Supplier - Oxygen & Equipment |
8527281005 | Practice locations: Bonifay, FL |
National Provider Directory
Locations
217 N Waukesha St
Bonifay, FL 32425
Phone (850) 547-6186
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
217 N Waukesha St
Bonifay, FL 32425-2245
Mailing address
217 N Waukesha St
Bonifay, FL 32425-2245
Phone (850) 547-6186
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010841400 | Medicaid | FL |
Other names
- The Medical Gallery
Other providers in Bonifay, FL
- Julia Manners-Morales
- Monica Martin
- Gina C Martinelli
- Emery Shyanne Mayo
- Ruby J McKay
- Medsouth Home Health L.L.C.
- Mary Elizabeth Miller
- Mohammad Yunus MD PA
- Mohammad Yunus MD PA
- Richard James Moore
All providers in Bonifay, FL · Durable Medical Equipment & Medical Supplies in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.